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Eye Socket Floor Fracture Repair With Graft

Indiana rates for HCPCS 21395

Repairs a break in the thin floor of the eye socket through an incision made around the eye, rebuilding the missing bone with a graft of the patient's own bone. This kind of break happens when a blow to the eye pushes the socket floor downward, letting tissue drop into the sinus below and causing double vision or a sunken-looking eye. Restoring the floor lifts the eye back into position.

Rates data updated July 2026.

Facilitymedian $15,488 · 10th–90th $2,344$25,7040%10%10th90th$15,488Professionalmedian $1,023 · 10th–90th $891$1,6600%20%10th90th$1,023$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$4,897.79
Typical High
$17,378.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$977.24
Typical High
$1,584.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$17,378.01
Typical High
$27,542.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,096.48
Typical High
$1,698.24
CareSource
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,000.00
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,380.38
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,174.90
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$9,549.93
Typical High
$16,218.10
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,071.52
Typical High
$1,819.70